Abstract
Public health addresses child maltreatment and other adverse childhood experiences by focusing primarily on preventing them from happening in the first place; understanding and addressing their individual, relational, community, and societal causes using the best available scientific evidence; and engaging in large-scale, multi-sector partnerships. Such large scale efforts require bringing together a compelling narrative, relationships, and strategy. This article describes how the Centers for Disease Control and Prevention used a public health approach to develop a narrative, relationships, and strategy to prevent child maltreatment.
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Adelman, L., Lomonoco, C.G., von Hemert, C. (2011). Needs ascertainment report. Retrieved from https://www.raisingofamerica.org/sites/default/files/Needs_Assessment-TheRaisingofAmerica.pdf. Accessed 31 Oct 2018
Brown, D.W., Anda, R.F., Tiemeier, H., Felitti, V.J., Edwards, V.J., Croft, J.B. …Giles, W.H. (2009). Adverse childhood experiences and the risk of premature mortality. American Journal of Preventive Medicine, 37, 389–396. https://doi.org/10.1016/j.amepre.2009.06.021
Brown, D. W., Anda, R. F., Felitti, V. J., Edwards, V. J., Malarcher, A. M., Croft, J. B., & Giles, W. H. (2010). Adverse childhood experiences are associated with the risk of lung cancer: A prospective cohort study. BMC Public Health, 10, 20. https://doi.org/10.1186/1471-2458-10-20.
Chapman, D. P., Whitfield, C. L., Felitti, V. J., Dube, S. R., Edwards, V. J., & Anda, R. F. (2004). Adverse childhood experiences and the risk of depressive disorders in adulthood. Journal of Affective Disorders, 82, 217–225. https://doi.org/10.1016/j.jad.2003.12.013.
Dahlberg, L. L., & Krug, E. G. (2002). Violence: A global public health problem. In E. Krug, L. L. Dahlberg, J. A. Mercy, A. B. Zwi, & R. Lozano (Eds.), World report on violence and health (pp. 1–56). Geneva: World Health Organization Retrieved from http://www.who.int/violence_injury_prevention/violence/world_report/en/. Accessed 31 Oct 2018
Division of Violence Prevention. (2007). Preventing child maltreatment through the promotion of safe, stable, and nurturing relationships between children and caregivers. Retrieved from https://www.cdc.gov/violenceprevention/pdf/CM_Strategic_Direction-Long-a.pdf. Accessed 31 Oct 2018
Division of Violence Prevention. (2012). Essentials for childhood: Steps to create safe, stable, nurturing relationships and enviornments. Retrieved from https://www.cdc.gov/violenceprevention/childabuseandneglect/essentials.html. Accessed 31 Oct 2018
Division of Violence Prevention. (2013). Implementation of essentials for childhood: Safe, stable, nurturing relationships and environments. Retrieved from https://www.cdc.gov/violenceprevention/fundedprograms/foa/. Accessed 31 Oct 2018
Division of Violence Prevention. (2017a). Making the case: Engaging the business sector. Retrieved from https://vetoviolence.cdc.gov/apps/child-abuse-neglect-biz/. Accessed 31 Oct 2018
Division of Violence Prevention. (2017b). Boost your competitive edge: Actions for a healthy, productive workforce. Retrieved from https://vetoviolence.cdc.gov/apps/child-abuse-neglect-biz/. Accessed 31 Oct 2018
Division of Violence Prevention. (2018). Technical packages for violence prevention: Using evidence-based strategies in your violence prevention efforts. Retrieved from https://www.cdc.gov/violenceprevention/pub/technical-packages.html. Accessed 31 Oct 2018
Division of Violence Prevention. (n.d.). Findings from the 2009 child maltreatment prevention environmental scan of state public health agencies. Retrieved from https://www.cdc.gov/violenceprevention/pdf/phli_cm_environmental_scan-a.pdf. Accessed 31 Oct 2018
Dube, S.R., Anda, R.S., Felitti, V.J., Chapman, D.P., Williamson, D.F., & Giles, W.H. (2001). Childhood abuse, household dysfunction, and the risk of attempted suicide thoughout the life span: Findings from the Adverse Childhood Experiences Study. Journal of the American Medical Association, 286, 3089–3096. https://doi.org/10.1001/jama.286.24.3089
Dube, S. R., Anda, R. F., Felitti, V. J., Edwards, V. J., & Croft, J. B. (2002). Adverse childhood experiences and personal alcohol abuse as an adult. Addictive Behaviors, 27, 713–725. https://doi.org/10.1016/S0306-4603(01)00204-0.
Dube, S. R., Felitti, V. J., Dong, M., Chapman, D. P., Giles, W. H., & Anda, R. F. (2003). Childhood abuse, neglect, and household dysfunction and the risk of illicit drug use: The adverse childhood experiences study. Pediatrics, 111, 564–572. https://doi.org/10.1542/peds.111.3.564.
Dubowitz, H., Feigelman, S., Lane, W., & Kim, J. (2009). Pediatric primary care to help prevent child maltreatment: The safe environment for every kid (SEEK) model. Pediatrics, 123, 858–864. https://doi.org/10.1542/peds.2008-1376.
Dubowitz, H., Lane, W. G., Semiatin, J. N., & Magder, L. S. (2012). The SEEK model of pediatric primary care: Can child maltreatment be prevented in a low-risk population? Academic Pediatrics, 12, 259–268. https://doi.org/10.1016/j.acap.2012.03.005.
Felitti, V.J., Anda, R.F., Nordenberg, D., Williamson, D.F., Spitz, A., Edwards, V., ... Marks, J.S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The adverse childhood experiences (ACE) study. American Journal of Preventive Medicine, 14, 245–258. https://doi.org/10.1016/s0749-3797(98)00017-8
Ford, E.S., Anda, R.F., Edwards, V.J., Perry, G.S., Zhao, G., Li, C., & Croft, J.B. (2001). Adverse childhood experiences and smoking status in five states. Preventive Medicine, 53, 188–193. https://doi.org/10.1016/j.ypmed.2011.06.015
Frameworks Institute. (2004). Making the public case for child abuse and neglect. Retrieved from http://www.frameworksinstitute.org/toolkits/canp/resources/pdf/MakingthePublicCaseforChildAbuseandNeglectPrevention_2004.pdf. Accessed 31 Oct 2018
Frameworks Institute. (2005). Talking early child development and exploring the consequences of frame choices: A FrameWorks Message Memo. Retrieved from https://frameworksinstitute.org/assets/files/ECD/ecd_message_memo.pdf. Accessed 31 Oct 2018
Frieden, T. R. (2010). A framework for public health action: The health impact pyramid. American Journal of Public Health, 100, 590–595. https://doi.org/10.2105/AJPH.2009.185652.
Ganz, M. (2011). Public narrative, collective action, and power. In S. Odugbemi & T. Lee (Eds.), Accountability through public opinion: From inertia to action (pp. 273–289). Washington, DC: World Bank. https://doi.org/10.1596/978-0-8213-8505-0.
Gilbert, L.K., Breiding, M.J., Merrick, M.T., (2010). Childhood adversity and adult chronic disease: An update from 10 states and the District of Columbia. American Journal of Preventive Medicine, 48, 345–349. https://doi.org/10.1016/j-amepre.2014.09.006
Hammond, W. R. (2003). Public health and child maltreatment prevention: The role of the Centers for Disease Control and Prevention. Child Maltreatment, 8, 81–83. https://doi.org/10.1177/1077559503253711.
Hillis, S. D., Anda, R. F., Felitti, V. J., & Marchbanks, P. A. (2001). Adverse childhood experiences and sexual risk behaviors in women: A retrospective cohort study. Family Planning Perspectives, 33, 206–211. https://doi.org/10.1363/3320601.
Hillis, S., Mercy, J., Amobi, A., & Kress, H. (2016). Global prevalence of past-year violence against children: A systematic review and minimum estimates. Pediatrics, 137, e20154079. https://doi.org/10.1542/peds.2015-4079.
Institute of Medicine. (1988). The future of public health. Washington, D.C.: National Academy Press.
Isaacs, J., Hahn, H., Rennane, S., Steurle, C.E., & Vericker, T. (2011). Kids' share 2011: Report on federal expenditures on children through 2010. Washington, D.C.: Brookings Institution and Urban Institute.
Kania, J. & Kramer, M. (2011). Collective impact. Stanford Social Innovation Review, Winter, 36–41. https://ssir.org/articles/entry/collective_impact. Accessed 31 Oct 2018
Klevens, J., & Whitaker, D. (2007). Primary prevention of physical abuse and neglect: Gaps and promising directions. Child Maltreatment, 12, 364–377. https://doi.org/10.1177/1077559507305995.
Klevens, J., Barnett, S. B., Florence, C., & Moore, D. (2015). Exploring policies for the reduction of child physical abuse and neglect. Child Abuse & Neglect, 40, 1–11. https://doi.org/10.1016/j.chiabu.2014.07.013.
Lynn, J., Gase, L., Roos, J., Oppenheimer, S., Dane, A., Stachowiak, S., & Orians, C. (2018). When collective impact has an impact: A cross-site study of 25 collective impact initiatives. Spark Policy Institute, ORS Impact. Retrieved from http://sparkpolicy.com/collective-impact-impact-cross-site-study-25-collective-impact-initiatives/. Accessed 31 Oct 2018
Melton, G.B. (2013). “Programs” aren’t enough. Child Abuse & Neglect, 37 Supp., 1–7.
Mercy, J. A., & O’Carroll, P. W. (1988). New directions in violence prediction: The public health arena. Violence and Victims, 3, 285–301. https://doi.org/10.1891/0886-6708.3.4.285.
Mercy, J. A., Rosenberg, M. L., Powell, K. E., Broome, C. V., & Roper, W. L. (1993). Public health policy for preventing violence. Health Affairs, 12, 7–29. https://doi.org/10.1377/HLTHAFF.12.4.7.
Metzler, M., Merrick, M. T., Klevens, J., Ports, K. A., & Ford, D. C. (2017). Adverse childhood experiences and life opportunities: Changing the narrative. Children and Youth Services Review, 72, 141–149. https://doi.org/10.1016/j.childyouth.2016.10.021.
Patton, M. Q. (1994). Developmental evaluation. Evaluation Practice, 15, 311–319 Retrieved from http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.465.8712&rep=rep1&type=pdf. Accessed 31 Oct 2018
Reynolds, A. J., & Robertson, D. L. (2003). School-based early intervention and later child maltreatment in the Chicago longitudinal study. Child Development, 74, 3–26. https://doi.org/10.1111/1467-8624.00518.
Robert Wood Johnson Foundation, Carger, E., & Westen, D. (2010). A new way to talk about the social determinants of health. Retrieved from https://www.rwjf.org/en/library/research/2010/01/a-new-way-to-talk-about-the-social-determinants-of-health.html. Accessed 31 Oct 2018
Stake, R.E. (1995). The art of case study research. Thousand Oaks, CA: Sage.
U.S. Department of Health and Human Services. (1980). Promoting health/preventing disease: Objectives for the nation. Washington, DC: U.S. Government Printing Office Retrieved from: https://files.eric.ed.gov/fulltext/ED209206.pdf. Accessed 31 Oct 2018
Westley, F., Zimmerman, B., & Patton, M. Q. (2007). Getting to maybe: How the world is changed. Toronto: Vintage Canada.
Whitfield, C. L., Anda, R. F., Dube, S. R., & Felitti, V. J. (2003). Violent childhood experiences and the risk of intimate partner violence in adults: Assessment in a large health maintenance organization. Journal of Interpersonal Violence, 18, 166–185. https://doi.org/10.1177/0886260502238733.
Woolcock, M. (2013). Using case studies to explore the external validity of ‘complex’ development interventions. Evaluation, 19, 229–248. https://doi.org/10.1177/1356389013495210.
World Health Organization, Commission on Social Determinants of Health. (2008). Closing the gap in a generation: Health equity through action on the social determinants of health. Final Report of the Commission on Social Determinants of Health. Geneva: World Health Organization Retrieved from http://www.who.int/social_determinants/thecommission/finalreport/en/. Accessed 31 Oct 2018
Acknowledgements
This work was funded by the Centers for Disease Control and Prevention (CE13-1303) and the Doris Duke Charitable Foundation. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
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Klevens, J., Alexander, S. Essentials for Childhood: Planting the Seeds for a Public Health Approach to Preventing Child Maltreatment. Int. Journal on Child Malt. 1, 121–132 (2019). https://doi.org/10.1007/s42448-018-0009-8
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DOI: https://doi.org/10.1007/s42448-018-0009-8